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Texas rates for HCPCS A4100

Skin Sub Fda Clrd As Dev Nos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,938.20 / $14,938.20 / $14,938.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.99 / $248.34 / $602.58
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $121.37 / $121.37
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.00 / $3.00 / $4.05
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.10 / $205.54 / $302.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.00 / $3.00 / $4.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,250,000.00 / $2,400,000.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $4.59 / $6.20